2

votes

Paleo mouthwashes?

Answered on August 19, 2014
Created August 02, 2013 at 2:37 PM

I found a really intriguing study that showed a turmeric mouthwash to be as effective as Prescription Chlorhexidine gluconate Mouth wash at reducing plaque index, Gingival Index and bacterial count in the mouth. The prescription mouthwash can only be used for short periods of time though because it has serious side effects like browning of the teeth. There were no observed side effects from the turmeric mouthwash in this study.

Is anyone aware of any other seemingly paleo mouthwashes?

Results: On comparison between chlorhexidine and turmeric mouthwash, percentage reduction of the Plaque Index between 0 and 21 (st) day were 64.207 and 69.072, respectively (P=0.112), percentage reduction of Gingival Index between 0 and 21(st) day were 61.150 and 62.545 respectively (P=0.595) and percentage reduction of BAPNA values between 0 and 21(st) day were 42.256 and 48.901 respectively (P=0.142).

Plaque Index: Plaque Index

Gingival Index: Gingival Index

Study: http://www.ncbi.nlm.nih.gov/pubmed/23162334 .

Conclusion: Chlorhexidine gluconate as well as turmeric mouthwash can be effectively used as an adjunct to mechanical plaque control in prevention of plaque and gingivitis. Both the mouthwashes have comparable anti-plaque, anti-inflammatory and anti-microbial properties.

A caveat of this study is the small sample size, this one has a larger sample size, smaller p values, but no graphs: http://cms.herbalgram.org/herbclip/450/031223-450.html?ts=1375454165&signature=1f6d57ae6c0945727a7491aadc347936 .

Also it should be noted that Chlorhexidine gluconate is considered the gold standard mouthwash in dentistry, so the fact that turmeric was as effective as the gold standard is very significant considering turmeric powder is non-prescription, and seemingly free of side effects.

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 07:37 PM

Sounds great! Thank you!

235e74b9adb57eff80592f064e1d298b

(421)

on August 02, 2013
at 07:14 PM

Too Bitter... what is wrong with humor in any conversation... I'll be sure to look for your name on other threads and stear clear from them so's not upset you any further, allow me to apologize for not recognizing the importance of a particular thread.

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 06:39 PM

... it's pretty 50/50 and you can't really solve one without addressing both. She recommended that patients use it in their Waterpik (if available) or just as a rinse. 30 drops per cup of water. (Also, here's a bit more on myrrh-containing dental products: http://www.ijdr.in/article.asp?issn=0970-9290;year=2009;volume=20;issue=4;spage=480;epage=482;aulast=George)

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 06:34 PM

You're welcome. :) I agree that 20mins of pulling vs 30min rinse is a bit much to ask of the typical patient! There's simply no way that most of them would have considered it. I actually intend on tipping her to this turmeric study you have referenced next time I see her. Our hygienist did not say why she recommended the GSE, but it does appear to have established antibacterial and antifungal properties: http://www.ncbi.nlm.nih.gov/pubmed/12165190 (in relation to topical use, not necessarily oral). In periodontal disease, however, inflammation is just as much a factor as the bacteria...

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 06:14 PM

These turmeric studies I provided had the individuals rinsing in equal amounts for equal amounts of time though, which is what stood out to me, as I consider that a more reasonable request. Was she recommending topical applications of the grapefruit seed oil? If so would you suppose the benefit resulted from the decrease in oral bacteria resulting from these herbs/oils/tinctures?

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 06:11 PM

Hey Varelse, thanks for your feedback which is especially valuable coming from a former dental professional such as yourself! That's a fancy list of different herbs and oils you provided there and I appreciate your feedback. I'd be curious to see any clinical trials done on those. I have seen one on Sesame seed oil (an oil, perhaps like grapefruit oil) and it showed effects comparable to Chlorhexidine gluconate (CHX), but those studies compared 30 seconds of rinsing with CHX to 20 minutes of pulling with Sesame Seed oil so that seems a little unbalanced.

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 05:34 PM

Keep the humor to the cute discussion threads. There's a time and a place for it, and the place is usually beside ACTUAL INFORMATION.

235e74b9adb57eff80592f064e1d298b

(421)

on August 02, 2013
at 04:33 PM

Varelse, You get another... REALLY??? Humor is a part of being a happy, stress free Paleoist... What do you have against cops anyway, do you know any personally??

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 04:30 PM

-1 for answering a serious question with all "humor" and no information. If you don't know anything about dentistry, stick to the cop-topics.

235e74b9adb57eff80592f064e1d298b

(421)

on August 02, 2013
at 03:38 PM

Have you no sense of humor... I am no expert on oral hygeine, I know how to brush my teeth and that's about it... Sorry for not taking this more seriously... REALLY???

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 03:12 PM

-1 Big Worm, for not mentioning anything about mouthwashes. This isn't a general oral hygiene question. Chlorhexidine gluconate is the gold standard of mouthwashes in dentistry today for gingivitis and periodontal disease, which the vast majority of Americans will have to deal with in their lives. You can't just say some general stuff like, clean your teeth with sticks and be "paleo" (which doesn't even have a strict definition) and write off these clinical studies like that. There's only weak at best epidemiological evidence indicating diet as a cause of gum disease. My stuff is clinical.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 03:09 PM

That's negligent and naive.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 03:08 PM

-1 Big Worm, for not mentioning anything about mouthwashes. This isn't a general oral hygiene question. Chlorhexidine gluconate is the gold standard of mouthwashes in dentistry today for gingivitis and periodontal disease, which the vast majority of Americans will have to deal with in their lives. You can't just say some general shit like, clean your teeth with sticks and be "paleo" (which doesn't even have a strict definition) and write off these clinical studies like these.

  • Cb9a270955e2c277a02c4a4b5dad10b5

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3 Answers

1
D1d9b0d839144b72b5f5dae893a686d3

(602)

on August 02, 2013
at 07:54 PM

You can do oil pulling with coconut oil.

1
61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 05:43 PM

I don't have a lot of experience with many conventional mouthwash alternatives, as my former boss (and still current dentist) was not "holistic" or what-have-you, and as a former chemical engineer before she went into dentistry, it just wasn't up her alley. The only natural alternatives that we regularly used or recommended in our office were myrrh and grapefruit seed oil.

http://jamesbronson.vpweb.com/upload/Botanical%20Remedies%20for%20Periodontal%20Therapy.pdf Mentions the myrrh tincture. This is something that she actually used herself before she became a dentist based on her cultural heritage and actually continued using thereafter. She would not have used it instead of chlorhexidine in the serious patient, but instead of using scaling treatments for a mild case of periodontal disease, she would recommend it's use and bring them back in three months to check for improvement. We generally saw it - but in a lot of cases, the patient may have just been more diligent in their oral hygiene. That article has some other herbs that sound promising - but I do not have personal experience with them.

When it comes to grapefruit seed oil, I don't have a lot of hard and fast information, sorry. This isn't something my boss recommended, but our hygienist, who I don't think was necessarily so scientific (she had some other pretty woo-ideas). I have seen it recommended a lot online, but I haven't seen the research to back it up so I am leery of passing on that suggestion.

(Former dental professional here).

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 06:11 PM

Hey Varelse, thanks for your feedback which is especially valuable coming from a former dental professional such as yourself! That's a fancy list of different herbs and oils you provided there and I appreciate your feedback. I'd be curious to see any clinical trials done on those. I have seen one on Sesame seed oil (an oil, perhaps like grapefruit oil) and it showed effects comparable to Chlorhexidine gluconate (CHX), but those studies compared 30 seconds of rinsing with CHX to 20 minutes of pulling with Sesame Seed oil so that seems a little unbalanced.

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 06:39 PM

... it's pretty 50/50 and you can't really solve one without addressing both. She recommended that patients use it in their Waterpik (if available) or just as a rinse. 30 drops per cup of water. (Also, here's a bit more on myrrh-containing dental products: http://www.ijdr.in/article.asp?issn=0970-9290;year=2009;volume=20;issue=4;spage=480;epage=482;aulast=George)

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 06:14 PM

These turmeric studies I provided had the individuals rinsing in equal amounts for equal amounts of time though, which is what stood out to me, as I consider that a more reasonable request. Was she recommending topical applications of the grapefruit seed oil? If so would you suppose the benefit resulted from the decrease in oral bacteria resulting from these herbs/oils/tinctures?

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 06:34 PM

You're welcome. :) I agree that 20mins of pulling vs 30min rinse is a bit much to ask of the typical patient! There's simply no way that most of them would have considered it. I actually intend on tipping her to this turmeric study you have referenced next time I see her. Our hygienist did not say why she recommended the GSE, but it does appear to have established antibacterial and antifungal properties: http://www.ncbi.nlm.nih.gov/pubmed/12165190 (in relation to topical use, not necessarily oral). In periodontal disease, however, inflammation is just as much a factor as the bacteria...

-2
235e74b9adb57eff80592f064e1d298b

on August 02, 2013
at 03:00 PM

I think Grok used a sharp stick to clean his teeth and only when something was stuck in his teeth...

Oh and by the way, many believe Grok had better oral health than we do today... yet another reason for being Paleo.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 03:09 PM

That's negligent and naive.

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 03:12 PM

-1 Big Worm, for not mentioning anything about mouthwashes. This isn't a general oral hygiene question. Chlorhexidine gluconate is the gold standard of mouthwashes in dentistry today for gingivitis and periodontal disease, which the vast majority of Americans will have to deal with in their lives. You can't just say some general stuff like, clean your teeth with sticks and be "paleo" (which doesn't even have a strict definition) and write off these clinical studies like that. There's only weak at best epidemiological evidence indicating diet as a cause of gum disease. My stuff is clinical.

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 05:34 PM

Keep the humor to the cute discussion threads. There's a time and a place for it, and the place is usually beside ACTUAL INFORMATION.

235e74b9adb57eff80592f064e1d298b

(421)

on August 02, 2013
at 03:38 PM

Have you no sense of humor... I am no expert on oral hygeine, I know how to brush my teeth and that's about it... Sorry for not taking this more seriously... REALLY???

235e74b9adb57eff80592f064e1d298b

(421)

on August 02, 2013
at 07:14 PM

Too Bitter... what is wrong with humor in any conversation... I'll be sure to look for your name on other threads and stear clear from them so's not upset you any further, allow me to apologize for not recognizing the importance of a particular thread.

235e74b9adb57eff80592f064e1d298b

(421)

on August 02, 2013
at 04:33 PM

Varelse, You get another... REALLY??? Humor is a part of being a happy, stress free Paleoist... What do you have against cops anyway, do you know any personally??

Cb9a270955e2c277a02c4a4b5dad10b5

(10989)

on August 02, 2013
at 03:08 PM

-1 Big Worm, for not mentioning anything about mouthwashes. This isn't a general oral hygiene question. Chlorhexidine gluconate is the gold standard of mouthwashes in dentistry today for gingivitis and periodontal disease, which the vast majority of Americans will have to deal with in their lives. You can't just say some general shit like, clean your teeth with sticks and be "paleo" (which doesn't even have a strict definition) and write off these clinical studies like these.

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 04:30 PM

-1 for answering a serious question with all "humor" and no information. If you don't know anything about dentistry, stick to the cop-topics.

61f9349ad28e3c42d1cec58ba4825a7d

(10480)

on August 02, 2013
at 07:37 PM

Sounds great! Thank you!

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